Lim Ji Won, Ryu Su Jeong, Shin Min Cheol
Department of Ophthalmology, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, #153 Gyo-dong, Chuncheon, Korea.
Korean J Ophthalmol. 2010 Jun;24(3):155-8. doi: 10.3341/kjo.2010.24.3.155. Epub 2010 Jun 5.
To evaluate the effect of intravitreal bevacizumab injection (IVBI) in acute central serous chorioretinopathy (CSC) patients.
Patients with acute CSC received IVBI (1.25 mg/0.05 mL) or observation by randomization. Twelve eyes in each group completed 6 months of regular follow-up and were ultimately included in this study. Each patient was assessed using best corrected visual acuity measurements, fluorescein angiography, and optical coherence tomography at baseline and had regular follow-ups after treatment.
All patients showed improvements in visual acuity and fluorescein angiographic leakage and had resolution of their neurosensory detachment following treatment. There were no significant differences in visual acuity, central retinal thickness, or remission duration between the IVBI group and the control group at baseline or after treatment (p>0.05).
Intravitreal bevacizumab showed no positive effect in acute CSC patients compared to the observation group, and there were no adverse effects of treatment. Further investigation will be helpful to understand this therapy in patients with CSC.
评估玻璃体内注射贝伐单抗(IVBI)对急性中心性浆液性脉络膜视网膜病变(CSC)患者的疗效。
急性CSC患者通过随机分组接受IVBI(1.25mg/0.05mL)或观察。每组12只眼完成6个月的定期随访,最终纳入本研究。每位患者在基线时使用最佳矫正视力测量、荧光素血管造影和光学相干断层扫描进行评估,并在治疗后进行定期随访。
所有患者治疗后视力、荧光素血管造影渗漏情况均有改善,神经感觉层脱离得到缓解。IVBI组与对照组在基线或治疗后,视力、视网膜中央厚度或缓解持续时间方面均无显著差异(p>0.05)。
与观察组相比,玻璃体内注射贝伐单抗对急性CSC患者未显示出积极作用,且治疗无不良反应。进一步研究将有助于了解CSC患者的这种治疗方法。